Active NPI
Jeromy Deakins, MAATERS
- Addiction (Substance Use Disorder) Counselor
- Mullins, SC
National Provider Identifier
1316690597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 424 Guyton CT
Mullins, SC 29574-6014 - Phone
- (843) 423-8292
- Fax
- (843) 423-8294
- NPI assigned
- Jan 28, 2022
- Last updated
- Jan 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
424 Guyton CT
Mullins, SC 29574-6014
Mailing address
424 Guyton CT
Mullins, SC 29574-6014
Phone (843) 423-8292
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Marion | Direct | Trinity Behavioral Care - Marlboro Office |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Behavioral Care - Marlboro Office | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Bennettsville, SC
- NPI 1497817613
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1316690597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 GUYTON CT",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746014",
"telephone_number": "843-423-8292",
"fax_number": "843-423-8294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 GUYTON CT",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746014",
"telephone_number": "843-423-8292",
"fax_number": "843-423-8294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAKINS",
"first_name": "JEROMY",
"credential": "MAATERS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Marion",
"affiliation": "Y",
"affiliationName": "Trinity Behavioral Care - Marlboro Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Marion",
"address_1": "211 N. Marlboro St.",
"city": "Bennettsville",
"state": "SC",
"country_code": "US",
"postal_code": "295121053",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mullins, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.